Compound
Retatrutide Phase 3: What the TRIUMPH Studies Have Reported
Current TRIUMPH state: Lilly topline announcements, distinct ClinicalTrials.gov statuses, and no Phase 3 papers comparable to NEJM 2023.
Published by Peptra Health
Published September 1, 2026
Evidence status reviewed: September 1, 2026
The map of the full program, including Phase 1b and Phase 2, is in retatrutide clinical trials. The index is the Retatrutide research hub.
The evidence state in one sentence
Peer-reviewed evidence exists for earlier stages. The TRIUMPH results circulating in 2026 are, in this page’s sources, sponsor topline announcements. Each ClinicalTrials.gov record has its own status.7,8,1,2
Three distinct layers. A release does not by itself update the registry or replace a paper.
| Layer | What it is | For TRIUMPH as of this review |
|---|---|---|
| Journal article | Peer-reviewed analysis | Not cited here for TRIUMPH-1, 2, or 3 |
| Sponsor topline | Lilly’s initial summary | TRIUMPH-1 (21 May 2026); TRIUMPH-2 and 3 (23 July 2026) |
| Registry status | Recruitment or close-out on ClinicalTrials.gov | TRIUMPH-1 Completed; TRIUMPH-2, 3, and Outcomes Active, not recruiting |
TRIUMPH-1
Registry: NCT05929066. Registry status as reviewed September 1, 2026: Completed. Sponsor topline: May 21, 2026.3,1
Lilly reported, for the efficacy estimand at 80 weeks and with a mean baseline weight of 112.7 kg, a mean percent body-weight change of −19.0% in the 4 mg arm, −25.9% in the 9 mg arm, −28.3% in the 12 mg arm, and −2.2% with placebo. An estimand is a defined way of answering the trial question; it is not an individual prescription.1
Lilly also reported that 45.3% of participants in the 12 mg arm reached ≥ 30% weight reduction, and that in a prespecified extension in people with BMI ≥ 35 the 12 mg arm reached a mean change of −30.3% at 104 weeks. Those figures are from the sponsor release.1
TRIUMPH-2
Registry: NCT05929079. Registry status as reviewed September 1, 2026: Active, not recruiting. Sponsor topline: July 23, 2026. This page does not mark the trial Completed merely because a release exists.4,2
Lilly reported a trial in adults with obesity or overweight and type 2 diabetes. According to the release, mean percent weight changes at 80 weeks were −12.7% (4 mg study arm), −19.1% (9 mg), and −20.8% (12 mg), with A1C reductions of up to 1.6% on average. Lilly reported those figures; they are not presented here as a Lancet or NEJM paper.2
TRIUMPH-3
Registry: NCT05882045. Registry status as reviewed September 1, 2026: Active, not recruiting. Sponsor topline: July 23, 2026. The same rule: the announcement is not translated into a Completed status.5,2
Lilly reported a trial in adults with severe obesity and established cardiovascular disease, with or without type 2 diabetes. According to the release, participants lost up to an average of 22.6% of body weight (55.8 lb) at 80 weeks. That is a sponsor-reported topline result.2
TRIUMPH-1, TRIUMPH-2, and TRIUMPH-3 studied different populations. Placing −28.3% next to −20.8% or −22.6% as if the trials were a race is misleading. Each figure belongs to its protocol and its release.
TRIUMPH-Outcomes
Registry: NCT06383390. Registry status as reviewed September 1, 2026: Active, not recruiting. In the reviewed sources there is no completed outcomes result. The registry estimates primary completion in 2029.6
What “topline” means
A topline result is an initial summary released by the study sponsor. It may preview primary endpoints and some secondary endpoints. It does not, by itself, include the methods, sensitivity analyses, and limitations that a peer-reviewed paper usually provides.
Lilly stated that detailed TRIUMPH-2 and TRIUMPH-3 results would be presented at medical meetings and published in journals. Until that publication exists, this page does not claim those trials already have a paper comparable to Jastreboff et al. or Rosenstock et al.2,7,8
What we still need to learn
Still open, among other items, are detailed TRIUMPH publication, additional analyses, regulatory review, and TRIUMPH-Outcomes data. A later paper could specify estimands, per-protocol populations, adverse events, and sensitivity analyses. This page does not speculate on the probability of an approval.
Lilly has stated an intention to submit a U.S. application in the first quarter of 2027. That is a plan. Retatrutide remains an investigational compound and is not currently approved by the FDA. A completed clinical phase or a positive result is not a regulatory authorization.9
The FDA page on unapproved GLP-1 drugs refers to the United States and is not translated here into a claim about Mexican law.10
References
Sponsor topline results
Eli Lilly and Company
Lilly's triple agonist, retatrutide, delivered powerful weight loss in pivotal Phase 3 obesity trialLilly investor news release. 2026
Sponsor topline announcement
Sponsor topline results
Eli Lilly and Company
Lilly's triple agonist, retatrutide, successful in two additional Phase 3 obesity trials, delivering significant improvements in weight and A1CLilly investor news release. 2026
Sponsor topline announcement
Clinical trial registry
A Study of Retatrutide (LY3437943) in Participants Who Have Obesity or Overweight (TRIUMPH-1)ClinicalTrials.gov NCT05929066. 2026
NCT05929066 · Registry status as reviewed: Completed · checked September 1, 2026
Clinical trial registry
A Study of Retatrutide (LY3437943) in Participants With Type 2 Diabetes Mellitus Who Have Obesity or Overweight (TRIUMPH-2)ClinicalTrials.gov NCT05929079. 2026
NCT05929079 · Registry status as reviewed: Active, not recruiting · checked September 1, 2026
Clinical trial registry
A Study of Retatrutide (LY3437943) in Participants With Obesity and Cardiovascular Disease (TRIUMPH-3)ClinicalTrials.gov NCT05882045. 2026
NCT05882045 · Registry status as reviewed: Active, not recruiting · checked September 1, 2026
Clinical trial registry
The Effect of Retatrutide Once Weekly on Cardiovascular Outcomes and Kidney Outcomes in Adults Living With Obesity (TRIUMPH-Outcomes)ClinicalTrials.gov NCT06383390. 2026
NCT06383390 · Registry status as reviewed: Active, not recruiting · checked September 1, 2026
Peer-reviewed clinical trial
Jastreboff AM, et al.
Triple–Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 TrialN Engl J Med. 2023;389:514-526. 2023
PubMed lists several authors with affiliation at Eli Lilly, Indianapolis. The trial was funded by Eli Lilly (ClinicalTrials.gov NCT04881760).
Peer-reviewed clinical trial
Rosenstock J, Frias J, Jastreboff AM, et al.
Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes: a randomised, double-blind, placebo and active-controlled, parallel-group, phase 2 trial conducted in the USAThe Lancet. 2023;402(10401):529-544. 2023
DOI 10.1016/S0140-6736(23)01053-X
The published paper includes authors affiliated with Eli Lilly and Company. The trial is registered as ClinicalTrials.gov NCT04867785.
Developer information
What to know about retatrutideLilly news / stories. 2026
Regulatory source
FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight LossFDA. 2026
Regulatory source — United States
Peptra Health materials are for laboratory research use only. This article is educational and is not medical advice.
Back to Retatrutide (LY3437943) →
Related research
- Retatrutide Clinical Trials: Phase 1, Phase 2 and Phase 3
A chronology of the clinical program: published phases, TRIUMPH registry records, and why registry status is not the same as a topline announcement.
- What Is Retatrutide (LY3437943)?
A definition of the LY3437943 peptide and of what is, or is not, established in the literature and before the FDA.
